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Diabetes: Chronic Complications, 2nd Edition

Diabetes: Chronic Complications, 2nd Edition

Kenneth M. Shaw (Editor), Michael H. Cummings (Editor)

ISBN: 978-0-470-86581-1 May 2006 270 Pages


Diabetes is one of the leading causes of morbidity and mortality worldwide. Major complications include nephropathy, neuropathy, retinopathy and heart disease, which affect thousands of diabetics every year. The prevention and treatment of such complications encompass pharmacological, surgical and educational approaches, all of which need to be coordinated for optimal management of people with diabetes.

This user-friendly new edition of Diabetes - Chronic Complications (previously called Diabetic Complications) has been completely revised and updated to reflect the rapid developments currently taking place in the field. Each chapter describes the epidemiology, aetiology and management of a particular complication and discusses the organisation and delivery of care.

  • Includes all the major chronic complications of diabetes
  • Presents a practical approach to the treatment of diabetes complications
  • Written by world’s leading experts in the field
  • Features algorithms for screening and treatment of diabetes complications
Preface to Diabetiic Complications.

Foreword to Diabetic Complications.

Preface to the Current Edition.

List of Contributors.

1. Diabetes and the Eye (Kevin Shotliff and Grant Duncan).

1.1  Introduction.

1.2  Epidemiology of diabetic retinopathy

1.3  Retinal anatomy.

1.4  Classification/clinical and histological features of diabetic retinopathy.

2. Diabetes and the Kidney (Richard J. MacIsaac and Gerald F. Watts).

2.1  Introduction.

2.2  Normal renal structure and function.

2.3  Stages in the development of diabetic renal disease.

2.4  Prevalence and significance of microalbuminuria.

2.5  Screening for diabetic renal disease.

2.6  Initiators and promoters of diabetic renal disease.

2.7  Renal morphology and diabetic nephropathy.

2.8  Prevention and treatment of diabetic renal disease.

2.9  Summary and conclusions.

3. Diabetes and Foot Disease (Darryl Meeking, Emma Holland and Deborah Land).

3.1   Introduction.

3.2   Diabetic foot ulceration.

3.3   Charcot foot.

3.4   The organization of foot care.

3.5   Conclusion.

4. Diabetes and Autonomic Neuropathy (Andres MacLeod).

4.1    Introduction.

4.2    Causative factors.

4.3    Tests of autonomic function.

4.4    Prevalence.

4.5    Screening for autonomic neuropathy.

4.6    Clinical syndromes.

4.7    Conclusion.

 5. Diabetes and Sexual Health (Michael H. Cummings).

5.1    Male erectile dysfunction.

5.2    Aetiology.

5.3    Assessment of the diabetic male with ED.

5.4    Discussion and counselling.

5.5    Management of ED in the diabetic male.

5.6    Conclusions.

5.7    Sexual dysfunction in the female with diabetes.

6. Diabetes and the Heart (Miles Fisher and K.M. Shaw).

6.1    Introduction.

6.2    Nature of the problem.

6.3    Primary prevention of heart disease in diabetes.

6.4    Management of heart disease in diabetes.

6.5    Secondary prevention of heart disease in diabetes.

6.6    Conclusions.

7. Diabetes and the Brain (Iain Cranston).

7.1    Introduction.

7.2    Cerebrovascular disease and diabetes.

7.3    Primary prevention of stroke in diabetes.

7.4    Secondary stroke prevention.

7.5    Management of acute stroke in diabetic patients.

7.6    Diabetes and cognitive function.

7.7    Summary.

8. Diabetes and the Gastrointestinal System (Charles Murray and Anton Emmanuel).

8.1    Introduction.

8.2    Epidemiology.

8.3    Pathophysiology of GI dysfunction.

8.4    Oesophageal complications.

8.5    Stomach complications.

8.6    Small intestine.

8.7    Colon.

8.8    Anorectal function.

8.9    Pancreatic.

8.10    Hepatobiliary.

8.11    Biliary disorders.

8.12    Diabetic diarrhoea.

8.13    Conclusion.

9. Diabetes and Musculoskeletal Disease (D.L. Browne and F.C. McCrae).

9.1   Introduction.

9.2   Pathophysiology.

9.3   Musculoskeletal conditions associated with diabetes.

9.4   Upper limb diabetic complications.

9.5   Generalized conditions involving the skeletal system in diabetes.

9.6   Functional disability in diabetic patients.

9.7   Conclusion.

10. Diabetes and the Skin (Adam Haworth).

10.1   Introduction.

10.2   Necrobiotic disorders.

10.3   Necrobiosis lipoidica.

10.4   Acanthosis nigricans.

10.5   Eruptive xanthomata.

10.6   Diabetic thick skin.

10.7   Diabetic dermopathy.

10.8   Bullosis diabeticorum.

10.9   Infections.

10.10   Perforating disorders.

10.11   Glucagonoma syndrome.

10.12   Vitiligo.

10.13   Dermatological definitions.

10.14   Dermatological therapies.


"Considering the ever increasing number of people afflicted with diabetes this is a timely update." (E-STREAMS, June 2007)

"…ideal for the healthcare practitioner with limited experience in treating patients." (The Annals of Pharmcotherapy, May 2006)

"...easy to read..." (Practical Diabetes International, Vol 22 (9), November 2005)